1. Chapter 20, Lesson 1

2. Advertisements are with healthy, attractive people sending messages that tobacco has no health consequences Medical studies show tobacco-leading cause of most preventable deaths and disability in US Linked to lung disease, cancers, and heart diseases 90% adult smokers began habit as teenagers Most teens think they can quit whenever they want Reality is quitting is difficult

3. Beautiful, thin woman Rugged, Tough Man Rugged, Tough Man Cool Dude, Cool Car Different Types of Ads

4. Addictive drug: a substance that causes physiological or psychological dependence Nicotine: the additive drug found in tobacco leaves Nicotine is a stimulant Stimulant: drug that increases the action of the central nervous system, the heart, and other organs Using raises blood pressure and increases heart rate

5. Carcinogen: cancer causing substance Tar: a thick, sticky, dark, fluid produced when tobacco burns Damages respiratory system by paralyzing and destroying cilia Cilia: tiny hair like structures that line upper airways and protect body against infection Damages lung tissue, reducing lung function Smokers susceptible to diseases: bronchitis, pneumonia, emphysema, heart disease, cancer 87% cancer deaths result from smoking

6. Tar Destroys Cilia

8. Carbon Monoxide: colorless, odorless and poisonous gas Absorbed more easily than oxygen CM deprives body tissues and cells from oxygen

9. Cigars contain significantly more nicotine and produce more tar and carbon monoxide than cigarettes 1 cigar contains as much nicotine as 20 cigarettes Pipe and cigar smokers have increase risk of cancer in the lips, mouth, throat, larynx, lungs, and esophagus

10. Smokeless (spit) tobacco: sniffed through the nose, held in the mouth, or chewed Not safe alternative smoking Smokeless tobacco are absorbed into the levels up to three times the amount of single cigarette Leukoplakia: thickened, white, leathery looking spots on the inside of the mouth that can develop into oral cancer Cancers from smokeless tobacco: mouth, throat, larynx, esophagus, stomach, and pancreas 8-10 plugs a day = 2 packs of cigarettes a day

11. Leukoplakia Chewing Tobacco

12. Short-term effects: Brain chemistry changes- additive property causes body to crave more of drug; user may experience withdrawal symptoms like : headaches, nervousness, trembling as soon as 30 minutes after tobacco use Respiration and heart rate increase Taste buds are dulled and appetite is reduced Users have bad breath, yellow teeth, smelly hair, skin, and clothes

13. Chronic bronchitis- occurs when cilia in bronchi become damaged that they are useless; leads to build up tar in lungs, causing more chronic coughing excessive mucous secretion Emphysema- disease that destroys tiny air sacs in lungs, person with emphysema uses up 80% of his/her energy to just breathe Lung cancer- 90% of lung cancer deaths are caused by smoking Coronary heart disease and stroke- nicotine constricts blood vessels, cuts down blood flow to limbs Arteriosclerosis- hardened arteries, plaque build up Weakened immune system long term use makes body vulnerable

14. Emphysema Chronic Bronchitis

15. Costs to society- tobacco related illness cost in US about $167 billion each year Costs to individuals: one pack a day spends $3,561 a year Legal consequences: under 18 illegal, on school grounds leads to suspension or expulsion

16. Chapter 20, Lesson 2

17. Why Some Teens Use Tobacco Falsely believe will control weight or cope with stress May think it makes them mature Truth is smoking reduces body's capacity for physical activity, so may lease to weight gain Dependency of tobacco may increase users stress level Teens influenced by movies, tv, advertisements: convince teens that tobacco is glamorous

18. CDC reports 88% of high school students nationwide do not smoke. This number is up from 65% a few years ago Tobacco Legislation: 1988, tobacco companies and 46 states reached a legal settlement the restricts tobacco advertising aimed at young people Illegal for anyone under the age of 18 to purchase tobacco in US No-smoking Policies: limited smoking in public places and businesses Family values: teens whose parents avoid tobacco use are more likely to avoid tobacco use themselves Health Risks: more teens understand tobacco use can lead to diseases

19. Better cardiovascular endurance and lung function if you don’t use tobacco Living tobacco-free has mental/emotional and social benefits: sense of freedom, not dependent on addictive substance, less stress don’t have to worry about tobacco-related health problems more confidence in social situations because you look and feel better

20. Surround yourself with positive influences Reduce peer pressure Be prepared with refusal skills: be assertive and leave situation if pressure continues; be confidant and stand up for your healthy choices

21. Teens who use tobacco give these reasons for quitting: Being to have health problems, such as asthma, coughing or respiratory infections Realize high cost of tobacco Realize using can lead to other risky behaviors, alcohol and other drugs Understand damaging effects of secondhand smoke; don’t want to harm others Feel more powerful because not controlled by an addiction to nicotine

22. Nicotine withdrawal-the process that occurs in the body when nicotine, an addictive drug, is no longer used Symptoms: irritability, difficulty concentrating, anxiety, sleep disturbances, cravings for tobacco Nicotine Substitutes-products that deliver small amounts of nicotine into the user’s system while he or she is trying to give up the tobacco habit Examples: gum, patches, nasal sprays, inhalers

25. Prepare for the quit day: set a target date, stick to it Get support and encouragement Access professional health services Replace tobacco use with healthy behaviors

26. Chapter 20, Lesson 3

27. Environmental tobacco smoke (ETS), or secondhand smoke, air that has been contaminated by tobacco smoke Mainstream smoke: the smoke exhaled from the lungs of a smoker Sidestream smoke: the smoke from the burning end of a cigarette, pipe, or cigar More dangerous than mainstream smoke because it’s exhaled by smoker, it contains lower concentrations of carcinogens, nicotine, and tar Young children who are exposed to ETS are more likely to develop asthma than their peers who are not exposed to ETS

28. Causes 3,000 deaths from lung cancer every year

29. Choosing to live tobacco-free is one of the healthiest choices a pregnant female can make for her baby Smoking during pregnancy can seriously harm the developing fetus Infant may also suffer from growth and developmental problems during early childhood Babies of mothers who smoked during pregnancy or who are exposed to ETS are more likely to die of sudden infant death syndrome (SIDS)

30. Children of smokers tend to have a higher incidence of sore throats, ear infections, and upper respiratory problems than children of nonsmokers Secondhand smoke can slow lung development

31. If family member smokes, encourage that person to quit by telling him/her health effects of tobacco smoke Open windows to allow fresh air in Suggest somewhere else to smoke

32. Medical research shows that any exposure to secondhand smoke can cause health problems According to US Surgeon General, only way to fully protect people from damaging health effects of ETS is to prohibit smoking in public places